Microbiology 26 - Infective endocarditis (path guide not lectures) Flashcards

1
Q

Recall some risk factors for infective endocarditis

A
Dental PMH
RhF
Congenital heart disease
Valve replacement
Long term lines
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2
Q

Recall some signs of SUBACUTE infective endocarditis that wouldn’t be seen in its acute form

A

Janeway lesions
Roth spots
Splenomegaly
Splinter haemorrhages

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3
Q

Recall the major criteria in the Duke Classificiation for infective endocarditis

A

Persistent bacteraemia
Echo findings (vegetations seen)
Positive serology

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4
Q

What is the most likely pathogen in subacute infective endocarditis?

A

Strep viridians

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5
Q

What is the most likely pathogen in acute infective endocarditis?

A

CoNS

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6
Q

Which valve is most likely to be affected in infective endocarditis in an IV drug user?

A

Tricuspid in 50%

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7
Q

What is the most important investigation to order in susected infective endocarditis?

A

3 blood cultures taken from 3 DIFFERENT sites

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